No office rate
31750 describes cervical tracheoplasty. Choose 31755 when the operation repairs a tracheopharyngeal fistula.
On this page
CMS RVU26D · Effective 2026-10-01
31755 Tracheoplasty Medicare reimbursement rates in Pennsylvania
Reports operative tracheal reconstruction to repair a tracheopharyngeal fistula, a documented abnormal connection between the trachea and pharynx. Compare 31755 office and facility rates across CMS payment localities in Pennsylvania.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 31755 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1511.97–$1658.45
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Thoracic surgery
About 31755: Tracheoplasty for tracheopharyngeal fistula
Reports operative tracheal reconstruction to repair a tracheopharyngeal fistula, a documented abnormal connection between the trachea and pharynx.
This service involves surgically reconstructing the trachea as part of repairing a fistulous connection between the trachea and pharynx. A thoracic surgeon or otolaryngologist may perform the operation in a hospital operating room. The operative report should identify the fistula’s location and describe the tracheal repair, reconstruction, and any associated work performed.
Select this code when the operative service addresses a tracheopharyngeal fistula, rather than tracheal reconstruction for another anatomic site or for stenosis. Documentation should support the fistula and the work required to repair it. CMS treats the procedure as major surgery with a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 31755
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.10 · 36%
- Practice expense (office) RVU28.11 · 59%
- Malpractice RVU2.50 · 5%
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
31755 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
31760 describes intrathoracic tracheoplasty. The defining service for 31755 is tracheoplasty performed to repair a tracheopharyngeal fistula.
No office rate
31780 is for tracheal resection and reconstruction in a stenosis case, not repair of a tracheopharyngeal fistula.
No office rate
31781 is used for intrathoracic tracheal stenosis resection and reconstruction; 31755 addresses a tracheopharyngeal fistula.
Compare 31755 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$1658.45
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$1511.97
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31755 billing questions
When should I choose 31755 instead of 31750 or 31760?
Use 31755 when the tracheoplasty is performed to repair a tracheopharyngeal fistula. Codes 31750 and 31760 describe tracheoplasty by cervical or intrathoracic location, respectively.
How does 31755 differ from tracheal stenosis reconstruction?
This code is for repair involving a tracheopharyngeal fistula. Codes 31780 and 31781 are considered when the operative service instead involves resection and reconstruction for tracheal stenosis.
What documentation supports reporting 31755?
The operative report should document the abnormal connection between the trachea and pharynx, its location, and the tracheal reconstruction performed to repair it.
What postoperative care is included?
CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
How are assistants and co-surgeons handled?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,66531725,,Clearance of airways,A,,1.67,0.30,NA,0.30,,0.14,2.11,2.11,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,66631730,,Intro windpipe wire/tube,A,,2.78,31.85,,0.66,,0.55,35.18,3.99,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,66731750,,Tracheoplasty cervical,A,,15.01,20.00,NA,20.00,,2.33,37.34,37.34,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,66831755,,Trachplsty trchphryngl fstlj,A,,17.10,28.11,NA,28.11,,2.50,47.71,47.71,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,66931760,,Tracheoplasty intrathoracic,A,,22.89,10.70,NA,10.70,,5.75,39.34,39.34,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67031766,,Carinal reconstruction,A,,30.88,11.31,NA,11.31,,7.77,49.96,49.96,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,67131770,,Repair/graft of bronchus,A,,22.95,8.80,NA,8.80,,5.77,37.52,37.52,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00